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HomeMy WebLinkAboutGREELEY - INSURANCE CERTIFICATEClient# 12170 GRECI ACORD CERTIFICATE OF LIABILITY INSURANCE DATE 1'"""°°"Y"' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Paterson IDS Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P O BOX 578 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 1687 W 18th Street Greeley CO 80632 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A Pmnacol Assurance City Of Greeley 10001 Oth Street Greeley CO 80631 INSURER B INSURER C INSURERD NSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS mw LTR TYPE OF INSURANCE MUCY NUMBER Po 110,100fM AICY EXPIRATION TE fMLWDDNY) POLDAM LDnS GENERAL UASILffY COMAERCML GENERAL LIABILITY CLAMS MADE F-IOCCUR EACHOCCURRENCE $ DAMAGE TO RENTED $ MED EXP (Any ore I n) $ PERSONALBADVINJURY $ GENERAI.AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER POLICY PRD LOC PRODUCTS COMP/OP AGG $ AUTOMOBILE LABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNED AUTOS COMBINED SINGLE OMIT (Ee eeatleM) $ BODILY INJURY (Pw �) $ BODILY INJURY (Per ecdtlenU $ PROPERTY DAMAGE (Pere .t) $ GARAGE LIABILITY ANY AUTO p AUTOONLY EAACCIDENT $ OTHER THAN EA AOC AUTO ONLY AGG $ $ EXCESSNNBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ A waniuut6 CoiwNsimTION AND EMPLOYERS' LIABILITY ANY PROPRIETOItPARTNER/EXECUTNE OFFICERrMEMBER EXCLUDED'! N yyee0.0. deernbe ender SPECIAL PROVISIONS below 4025273 01/01/08 01/01/09 WCSTATNU OM - X I E L EACH ACCIDENT E1OO OOO EL DISEASE EAEMPLOYEE $100000 E L DISEASE POLICY LIMIT $500 000 O'nIER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS To Whom It May Concern OF THE ABOVE DESCRIBED POLICIES BE CANCELLED IEREOF THE 188UlNfi INSURER eNLL ENDEAVOR TO MAR20 DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR ACORD 25 (2001108) 1 Of 2 #S407629/M401676 DSM 0 ACORD CORPORATION 1988 U-U7ZICIM If the cerbficate holder is an ADDITIONAL INSURED the polrcy(res) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements) If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may require an endorsement A statement on this certficate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) authorized representable or producer and the cerbfcate holder nor does it affirmatively or negatively amend extend or after the coverage afforded by the policies listed thereon ACORD 25S (2001108) 2 of 2 #S407629IM401676